| NPI | 1235518994 |
|---|---|
| Former Name | RENETE BENJAMIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC010932) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH 14724) |
| 101YM0800X Counselor Mental Health (Licence: FL MH 14724) | |
| 101YM0800X Counselor Mental Health (Licence: FL MH14724) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-05-13 |