| NPI | 1124567177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE KRISTINA ROBISON Therapist 208-841-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60127859) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |