| NPI | 1275674954 |
|---|---|
| Former Name | MARYLEE BENNISON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3487) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C8901) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-01-24 |