| NPI | 1760369136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOK LYNN GILLASPIE Co Owner 253-592-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |