| NPI | 1932635414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DANIEL POWERS Sole Shareholder 360-920-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60453276) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |