| NPI | 1417185562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PETERSON Owner/Clinician 206-240-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 00009745) |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2009-06-28 |