| NPI | 1912937749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J ERICKSON Licensed Psychologist 307-637-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WY 303) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-09-24 |