| NPI | 1043760325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARIE PUCHER Managing Member 425-301-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60685657) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-07-09 |