| NPI | 1255197042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITA SUNWOLF LARUE CEO & Clinical Psychologist 907-764-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |