| NPI | 1760107817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SMITH Therapist, Owner 307-287-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |