| NPI | 1821452640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M. FISHAUT Therapist/Sole Proprietor 425-954-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60205276) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-02-16 |