| NPI | 1225403454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANNA GOODMAN CEO 360-907-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60139869) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002654) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |