| NPI | 1164962072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LENZ Office Manager 425-998-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60607262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60136151) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2023-07-27 |