| NPI | 1124895602 |
|---|---|
| Other Name | EVERGREEN THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | ALISHA M BACHMAN Owner 253-254-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |