| NPI | 1205009354 |
|---|---|
| Former Name | LILLIAN M BENAVIDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 7502-125) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 1965-132) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 11226-135) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2020-03-03 |