| NPI | 1063851244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STEPHEN BENVENISTE Clinical Psychologist 425-455-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |