| NPI | 1164966230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE COYLE M Anager/P Rovider/Member 253-988-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60060685) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |