| NPI | 1720487671 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALLISON BROOKS Co Director/Clinical Psychologist 206-801-1139 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00003264) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CL60183809) | 
| 101YM0800X Counselor, Mental Health (Licence: WA MC60320907) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60328590) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60304368) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60275949) | |
| Enumeration Date | 2014-08-16 | 
| Last Update Date | 2014-08-16 |