| NPI | 1578974143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN BEUTLER Manager 253-278-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY60318110) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |