| NPI | 1952699654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE RILEY Credentialing 505-933-4639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0109871) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2025-01-30 |