| NPI | 1609057231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GERMAINE D'ANNIBALLE Owner 206-390-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: WA AP30003636) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |