| NPI | 1366161317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LAYTON Treasurer 253-271-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |