| NPI | 1083403455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA DOMINGUEZ Owner 970-203-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101200000X Drama Therapist |
| 101YM0800X Counselor, Mental Health | |
| 221700000X Art Therapist | |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |