| NPI | 1801149000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONA LYNN MCGUIRE Manager 425-581-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA PY000000942) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |