| NPI | 1770910861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE (KATIE) ROSE HART Authorized Official,Managing Member 360-915-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60138935) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA NU60040674) |
| 133N00000X Nutritionist (Licence: WA NU60334795) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2025-06-05 |