| NPI | 1447464474 |
|---|---|
| Former Name | JODIE BENABE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO PSY.0004013) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0004013) |
| 103T00000X Psychologist (Licence: UT #7565809-2501) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-10-25 |