| NPI | 1972971729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FISKE RIDLEY Sole Proprietor 303-679-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 2667) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2018-03-17 |