| NPI | 1568909463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO PARRA Co Owner 603-422-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60560674) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-04-30 |