| NPI | 1962090597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A MARTIN Sole Member And Practitioner 970-987-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |