| NPI | 1033809033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SHADWELL Owner/CEO 360-306-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |