NPI | 1619262508 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA R HANAWALT Owner/Provider 360-348-7183 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60171874) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60172289) |
Enumeration Date | 2011-06-18 |
Last Update Date | 2011-06-18 |