| NPI | 1902478126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHEBE BRAKO-OWUSU Owner 253-778-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |