| NPI | 1710190186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GRANT THOMSEN President Owner 425-347-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001824) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |