| NPI | 1992500094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUIANA F RODRIGUEZ Director/ President 505-289-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-03-07 |