Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 60667244 | WA |
NPI | 1033790282 |
---|---|
Provider Name | Dr. Julia Gorelik |
First Address | Seattle, WA 98112-3124 |
Second Address | Seattle, WA 98112-3124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2021 |
Last Update Date | 19/04/2021 |