| NPI | 1518356484 |
|---|---|
| Doing Business As | INNOVATIVE NEUROFEEDBACK THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PETERSEN President 970-234-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 2179) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |