| NPI | 1801291083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PIERSON Licensed Clinical Social Worker 605-381-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW 569) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2022-07-26 |