| 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 |