| NPI | 1942733456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR KENNEDY Individual And Family Therapist 509-929-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60707135) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |