NPI | 1154565992 |
---|---|
Entity Type | Organization |
Authorized Contact | ALIISON K. OHASHI President 307-433-1124 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WY 233) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2009-09-02 |