| NPI | 1033682927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA BELEN SAMANIEGO ESTRADA Managing Member 970-888-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-06-11 |