| NPI | 1154670255 |
|---|---|
| Former Name | PRECIOUS BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA 31924) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PT31924) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2017-11-02 |