| NPI | 1487009726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K LEEDS Clinical Social Worker 425-454-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004237) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2017-01-07 |