NPI | 1699019802 |
---|---|
Entity Type | Organization |
Authorized Contact | CHYRIL WALKER President 971-313-2094 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 997) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OR 997) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 997) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |