| NPI | 1194741868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN STERNITZKE Psychologist 307-638-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-08-31 |