| NPI | 1245462134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANRAJ VARU Provider/Owner 253-514-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA MD00030816) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |