| 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 |