| NPI | 1679920680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MEBUST Owner/Practitioner 425-559-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60342352) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |