| NPI | 1447631114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JEAN SHAWVER Owner/Therapist 360-536-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: WA LW00008500) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-11-16 |