| NPI | 1962863928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MARIE KIMMERLY Lmft 253-347-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60172540) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |