| NPI | 1609286863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGA KAREN LARSON Sole Proprietor 303-459-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1964) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |