| NPI | 1396884011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICA WALLER Owner And Psychotherapist 303-915-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 83) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |