| NPI | 1649579483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE R HOMER Owner/Lpc 307-460-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC1090) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |