| NPI | 1790034627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M ESCAMILLA Juvenile Court Administrator 360-397-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF00001940) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |