| NPI | 1053107359 |
|---|---|
| Other Name | ILYSE BLOOM, LMFT |
| Other Name | ILYSE BLOOM |
| Entity Type | Organization |
| Authorized Contact | ILYSE BLOOM Owner 303-931-8492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-25 |