| NPI | 1023783834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA KANESHIRO Therapist 720-231-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |