| NPI | 1942699624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RUSSELL Psychologist/Owner 907-334-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AK 581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AK 574) |
| 1041C0700X Social Worker, Clinical (Licence: AK 1222) | |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |