| NPI | 1225537798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STEVENSON JUTTE Owner 206-445-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY60137402) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60137402) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-05-18 |