| NPI | 1548597420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON PRINSTER Owner 360-734-2664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003717) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |