| NPI | 1295500338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA WIGHT Owner 719-209-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |