| NPI | 1396063558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN JACOB MAARSE Psychologist 206-323-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY2011) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |