| NPI | 1619484821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY WALKER Credentialing Manager 425-996-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY00571) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |