| NPI | 1790590958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO ISABEL MOCKERMAN License Professional Counselor 719-582-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-03-13 |