NPI | 1326582412 |
---|---|
Entity Type | Organization |
Authorized Contact | KOREL PONTI-FOSS President 360-259-0864 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1102) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2016-12-08 |