| NPI | 1578160966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINA SMITH Owner/Licensed Psychologist 307-632-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2021-01-08 |