NPI | 1457654428 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY KOLPACOFF Psychologist 425-451-9492 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 996) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2010-12-14 |