NPI | 1851835920 |
---|---|
Entity Type | Organization |
Authorized Contact | DANI NIERENBERG Clinical Director 360-450-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60263831) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2016-12-08 |