| NPI | 1780886341 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JANINE JONES Owner 206-725-1820  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00002482)  | 
| Enumeration Date | 2007-06-04 | 
| Last Update Date | 2020-08-22 |