| NPI | 1700112653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A KIRWAN Psychotherapist 719-444-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 398) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |