| NPI | 1932591930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RIDDLE Licensed Professional Counselor 505-585-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0169371) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2025-10-26 |