| NPI | 1629688254 |
|---|---|
| Former Legal Business Name | TAMARA GITTELSON |
| Entity Type | Organization |
| Authorized Contact | TAMARA J GITTELSON Owner Head Clinician 206-351-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |