| NPI | 1932618014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D'ETTORRE Owner 425-614-5649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60784941) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |