| NPI | 1306977566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLNAR ANSARI Authorized Official 360-698-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005245) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-10-04 |