| NPI | 1659350676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NEIDERMYER Marriage & Family Therapist 970-759-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 589) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |