| NPI | 1063504611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA DIANE RUTT President 307-286-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 422) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-09-11 |