| NPI | 1508389347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JANE WILSON Sole Proprietor 425-802-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002288) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |