| NPI | 1730837899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE RANDOLPH WALTMAN Executive Director 509-747-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |