| NPI | 1669755203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA S HUBER Provider/Owner 253-588-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60035034) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |