| NPI | 1750570644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE L HANSEN Owner 307-631-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LPC-514) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2021-03-29 |