NPI | 1376892232 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEY ERIN DONNINI Owner 307-235-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-657) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2012-09-06 |