| NPI | 1225545122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LONDON Owner 360-558-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225700000X Massage Therapist | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2019-10-21 |