| NPI | 1154726412 |
|---|---|
| Former Name | COURTNEY LYNN BENJAMIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017590) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |