| NPI | 1275948234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEDRA LEE CLAY Licensed Clinical Psychologist 206-853-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002708) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: WA CP00000182) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |