| NPI | 1922352756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JONATHAN BJORNSON Psychologist/Owner 307-702-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: WY 465) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |