| NPI | 1811269624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN HANSON Member/Manager 425-775-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005434) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2024-06-03 |