Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | CG60334448 | WA |
NPI | 1003157033 |
---|---|
Provider Name | Sarah Shallit |
First Address | Seattle, WA 98178-4918 |
Second Address | Seattle, WA 98108-3768 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2013 |
Last Update Date | 15/03/2013 |