| NPI | 1548022254 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | LETICIA MARIE HOLLEMAN Licensed Clinical Social Worker 425-903-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-02-26 |