| NPI | 1407099419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KEHAULANI JOHNSON Partner/Therapist 425-776-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00021455) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |