| NPI | 1255662714 |
|---|---|
| Former Name | MICHELE NOEL BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC48059) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48059) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2011-12-19 |