| 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 (Licence: WY 397) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-12-28 |