| NPI | 1619344744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA PERRY Owner 405-919-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60579749) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2017-02-15 |