NPI | 1245393172 |
---|---|
Professional Name | TAMARA BENNETT WENZL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2006-12-19 |
Last Update Date | 2022-09-07 |