| NPI | 1003949819 |
|---|---|
| Former Name | NICOLE S BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8804) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-05-28 |