| NPI | 1164990404 |
|---|---|
| Doing Business As | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | QUEENIE FITZGERALD Owner 206-250-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |