| NPI | 1235383365 |
|---|---|
| Former Name | BRENNA J BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI 00164) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA 1512) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2022-08-18 |