| NPI | 1154524460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M ADAMS President 253-852-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 602507189) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY2393) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-05-22 |