| NPI | 1962370635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JAIME HERNANDEZ Licensed Professional Counselor 719-377-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-10-25 |
| Last Update Date | 2025-10-25 |