| NPI | 1801130976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HAVELLANA Neuropsychologist 425-387-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY60014648) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |