| NPI | 1235849365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHITA LAKE-KHOSRAVI Co Owner 720-248-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-01-09 |