| NPI | 1730337296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERINA G RIABOVA Owner 425-822-8153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA MD00041397) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |