| NPI | 1033548805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKTI SUTRIASA Psychotherapsit 206-486-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11579) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2022-12-23 |