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 |