| NPI | 1437282688 |
|---|---|
| Former Name | CAROLYN BENENE STALZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201229) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51426) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-01-04 |