| NPI | 1285751875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GORSLINE Licensed Clinical Psychologist 303-831-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2628) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |