| NPI | 1669575247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEEN PROVAZEK President And Only Employee 253-851-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001337) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |