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 |