| NPI | 1275924623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY HOLLAND Owner/Therapist 253-230-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00018940) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |