| NPI | 1215161435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA RAYE MULLEN Member 206-214-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 00004112) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |