| NPI | 1891085643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE S KAISER President 360-524-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00002519) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-08-03 |