| NPI | 1053795302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPERANZA IVONNE GARIBAY Director 425-985-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60219702) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60219702) |
| 101YP2500X Counselor, Professional (Licence: WA MC60219702) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |