| NPI | 1992591630 |
|---|---|
| Former Name | ABIGAIL K BENVENUTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-06-27 |