| NPI | 1811326804 |
|---|---|
| Doing Business As | REGINA A BLACKWOLF, MSW |
| Entity Type | Organization |
| Authorized Contact | REGINA A BLACKWOLF President, Member, Therapist 206-375-7657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LW60083962) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2023-03-03 |