| NPI | 1912341983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARET VONDERHAAR Owner/Psychologist 970-531-0574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2106) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-11-09 |