| NPI | 1790164291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M BUCKLEY Owner/Social Worker 360-556-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005091) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |