| NPI | 1043502388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIKA M KELSO Owner/Psychotherapist 505-926-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06699) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-01-29 |