| NPI | 1356842785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARTIN Owner / Psychologist 509-201-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60253453) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2024-06-21 |