| NPI | 1033807532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMA ABDIRAHMAN HAJI ALI Owner 253-397-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-04-24 |