| NPI | 1114266731 |
|---|---|
| Former Name | CHRISTAN LATONYA BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13712) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL 160994624) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2021-12-11 |