| NPI | 1679833735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KATHRYN STOLZENBACH Proprietor 509-426-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60259853) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |