| NPI | 1093400988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BAIRD Owner 253-651-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-20 |