| NPI | 1912864828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRINA PATTY Owner/Clinician 360-298-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-27 |