| NPI | 1710429121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FERNANDES Licensed Professional Counselor, Na 970-673-7372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014046) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2022-07-21 |