| NPI | 1073123733 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | YOUNGNAN NANCY NAMKUNG Mental Health Therapist 206-717-3838  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2020-08-06 | 
| Last Update Date | 2020-11-02 |