NPI | 1629330444 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH JOHNSON Licensed Psychologist/Owner 307-286-2851 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0002384) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WY 397) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2020-12-28 |