| NPI | 1013982354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CHUPURDIA Psychologist 509-747-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 2094) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2020-08-22 |