| NPI | 1487841953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYN PETERSON Businss Manager 425-802-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA group practice - man) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-04-20 |