| NPI | 1982144549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH OSLUND Clinical Psychologist 360-953-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60588159) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |