| NPI | 1942680624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL DANLYS CASPE-DETZER Owner 425-417-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60420811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60489768) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2016-03-22 |