| NPI | 1528413317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KAY WHITE Licensed Mental Health Counselor 206-679-7327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60650496) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |