| NPI | 1649529140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K ALI Owner/Therapist 3038-599-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4448) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 4352) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |