| NPI | 1417237165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA T MILLER Clinical Child Psychologist 605-348-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 496) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2013-05-20 |