| NPI | 1376757575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ALLEN VANDALFSEN President 425-822-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001869) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |