| NPI | 1164940144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE FARLEY Office/Account Mgr 206-365-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001203) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |