| NPI | 1699222794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LAMBERT THORNDIKE Owner 360-510-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60389092) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |