| NPI | 1508328279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI TUDOR HOWARD Owner 425-217-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-08-16 |