| NPI | 1508284001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE LINDSEY NIENABER Mental Health Counselor 425-445-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WA 60410319) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |