| NPI | 1083491484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN VROOMAN Therapist/Owner 719-459-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-10-14 |