| NPI | 1720539745 |
|---|---|
| Doing Business As | KRISTINA M MINER |
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARIE MINER Sole Member 406-544-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MT BBH-LCSW-LIC-999) |
| Additional Taxonomies | 251S00000X (Licence: MT BBH-LAC-LIC-1354) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2019-01-21 |