| NPI | 1295898518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A CASPER Member 970-669-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 580) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 1789) |
| 101YP2500X Counselor, Professional (Licence: CO 2836) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-09-29 |