| NPI | 1780647859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ESTELLE Psychologist 509-467-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002919) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |