| NPI | 1891095410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LOCK Executive Director 206-328-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY3514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009478) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2011-08-21 |