| NPI | 1205266046 |
|---|---|
| Former Name | DEBORAH LYNNE BENARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4249) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2016-09-08 |