| NPI | 1700484698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PAULINE WOODWARD Mental Health Therapist 509-851-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |