| NPI | 1316252182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH M QUIST Owner 425-466-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010793) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |