| NPI | 1598156994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA MAKOFSKE Licensed Psychologist 719-641-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2015-02-07 |