| NPI | 1205249463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE CATHERINE MCKINNIE Owner/Psychologist 406-582-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 338) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |