| NPI | 1972001618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE FISHER Owner/Therapist 307-286-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1646) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-03-17 |