| NPI | 1144840398 |
|---|---|
| Former Name | COTY BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106340) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2023-11-30 |