| NPI | 1558964288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY BECKER Owner 907-538-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |