| NPI | 1245738657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELLYSE MCKNIGHT Owner 720-398-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2016035608) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-01-27 |