| NPI | 1588441695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA RAYLS Psychologist 253-256-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |