| NPI | 1205422318 |
|---|---|
| Former Legal Business Name | MINDFUL LIVING PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | KAYLEE TROTTIER Executive Director 605-431-7495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-01-14 |