NPI | 1215379219 |
---|---|
Former Name | VANESSA BENZAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005880) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117678) |
Enumeration Date | 2013-07-19 |
Last Update Date | 2018-03-17 |