| NPI | 1457751240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BEARSE President 360-303-4802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60463236) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |