| NPI | 1205544855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI DIANE STRAUBE Licensed Mental Health Counselor 360-624-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |