| NPI | 1205792066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANDERSON Licensed Professional Counselor 505-220-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-12-24 |
| Last Update Date | 2025-12-24 |