| NPI | 1033522628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER J JOHNSON President 360-820-2934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA lf60032040) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60439126) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |