| NPI | 1962674010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA ANN RUDDELL Psychologist 253-874-5319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PSY1268) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |