| NPI | 1316026263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BETH PALMER-ANSORG Owner 425-357-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA WA2532) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-10-19 |