| NPI | 1548657877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDA FRIEDMAN TEBOCKHORST Owner 720-387-8458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 4121) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 4820) |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2023-10-21 |