| NPI | 1598530248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL COLLIER Owner 253-234-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-03-08 |