| NPI | 1699476358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE L PAVLICEK Therapist 253-970-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-04-12 |