| NPI | 1871117374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LARIVIERE Licensed Professional Counselor 719-425-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-16 |