| NPI | 1205137163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN STERNITZKE Owner/Psychologist 307-637-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WY 267) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |