| NPI | 1316037302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M KNUDSON Office Manager 360-307-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008740) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001317) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00005406) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-03-16 |