| NPI | 1942740378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JANE ROSENKOETTER Owner 425-413-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60484482) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-06-27 |