Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 102L00000X | Psychologist | PY00000571 | WA |
Y | 103T00000X | Psychologist | PY00000571 | WA |
NPI | 1013000215 |
---|---|
Provider Name | Kathleen Worsley |
First Address | Redmond, WA 98052-3388 |
Second Address | Redmond, WA 98052-3388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 27/02/2020 |