Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MC60532719 | WA |
Y | 102L00000X | Psychologist | PY60732813 | WA |
Y | 103T00000X | Psychologist | PY60732813 | WA |
N | 103G00000X | Clinical Psychologist | PY60732813 | WA |
N | 103TC0700X | Clinical Psychologist | PY60732813 | WA |
N | 103TC1900X | Counseling Psychologist | PY60732813 | WA |
NPI | 1043765852 |
---|---|
Provider Name | Dr. Daphne Tu |
First Address | Redmond, WA 98052-3862 |
Second Address | Redmond, WA 98052-3862 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2016 |
Last Update Date | 03/06/2019 |