| NPI | 1609185271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY E PRINCE President 206-898-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 00002535) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2018-08-18 |