| NPI | 1174726574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE LEEFELDT KANTERS Psychologist 360-683-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002724) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |