| 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 | 2026-03-31 |