| NPI | 1477070738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BOILEN Owner 406-662-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 1196) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT 18309) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |