| NPI | 1770352759 |
|---|---|
| Doing Business As | POTENTIAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN NICOLE BLAIR Owner/Licensed Psychologist 970-312-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-01-01 |