| NPI | 1265527360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE G BROST Owner/Office Mangager 509-466-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00002703) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA PY00002703) |
| 1041C0700X Social Worker Clinical (Licence: WA LW00004172) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |