| 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 |