| NPI | 1326783689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE C BENNETT Clinic Coordinator 425-361-9272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-02-02 |