| NPI | 1114163615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D. KANE-RONNING Licensed Psychologist 360-714-8109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WA PY00001969) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |