| 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 |