| NPI | 1104539030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BLACKWELL Marriage And Family Therapist 509-362-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |