| NPI | 1457094575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELITA WONG Owner, Nurse Practitioner 206-531-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2022-04-16 |