| NPI | 1619118817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY S. GOODHUE Co President 303-666-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1112) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |