| NPI | 1215503776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MAYUMI HAMILTON Licensed Psychologist 719-370-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-08-05 |