| NPI | 1598371049 |
|---|---|
| Other Name | BOULDERWISE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JOANNA IOANNIDES Licensed Clinical Social Worker 720-319-7319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |