| NPI | 1972043891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GLENDENNING Counselor 425-252-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005456) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |