| NPI | 1104183722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA HOUDEK JIMENEZ President 425-488-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 683) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |