| NPI | 1093130361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BOUDREAUX Licensed Marriage, Family And Child 719-229-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001121) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |