NPI | 1275903312 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN KRISTINE ELEESON CEO/Licensed Psychologist 605-351-5826 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: SD 399) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2024-02-01 |