NPI | 1245745181 |
---|---|
Entity Type | Organization |
Authorized Contact | AUTUMN ASCANO Owner 719-219-8626 |
Organization Subpart ? | No |
Primary Taxonomy | 103TF0200X Psychologist, Forensic |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2017-12-13 |