| NPI | 1093857260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J SORENSEN Partner 307-332-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WY 6499A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY LPC-242) |
| 103T00000X Psychologist (Licence: WY 421) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-256) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-04-20 |