NPI | 1285492025 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN JACK Sole Proprietor 303-898-2265 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-03-07 |