| NPI | 1679795637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ANN JOHNSON President 425-347-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 2927) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-01-10 |