| NPI | 1306245212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELLE CHENAULT Licensed Psychologist 206-465-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA py60232330) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |