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 |