| NPI | 1124453733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE MARIE GAFFNEY Sole Member 253-906-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 603332338) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |