| NPI | 1518547579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA NICOLE HEPNER Owner/Authorized Official 719-287-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-09-06 |