| NPI | 1437447208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE HEINE Owner/Provider 253-588-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA LH00003850) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |