| NPI | 1841678620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRINE MARIE HAK Psychologist/Owner 360-903-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3941) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |