| NPI | 1093604118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA ANN BUSSELL Owner / Clinical Psychologist 719-377-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |