| NPI | 1154734531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN KIMBLE Owner 206-380-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60083354) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00005295) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |