| NPI | 1255730354 |
|---|---|
| Former Name | COURTNEY BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018496) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.015244) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-08-05 |