| NPI | 1386068617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WILSON Admin Asst 425-255-5526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CL60152004) |
| Additional Taxonomies | 251S00000X (Licence: WA CL60152004) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |