| NPI | 1154870194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE SOUDANT Marriage And Family Therapist 206-618-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60402146) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |