| NPI | 1205685179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE LEDERER Owner/Mental Health Counselor 307-429-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-09-13 |