| NPI | 1235482761 |
|---|---|
| Former Name | CARROLL L BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6990) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |