| NPI | 1780124107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY ANN HUNT Psychotherapist 253-335-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA Lw00008268) |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |