| NPI | 1437743143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BOTELLE WOLHART Child & Family Therapist 360-926-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-03-11 |