| NPI | 1063073104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCA NWIZUGBO Business Owner 425-233-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |