| NPI | 1023564580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA PUCHALLA Owner 719-205-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO mft0000378) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |