| NPI | 1558894170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTA N MORTENSEN Owner Clinician 206-697-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60004175) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |