| NPI | 1851784003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI K WALLIN-FISGUS Co Owner 307-751-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WY LCSW 816) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2020-06-02 |