| NPI | 1659826444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA RANAE MILLER Owner 307-258-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-03-16 |