| NPI | 1457684276 |
|---|---|
| Former Name | SHELLY M BENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009088) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06103) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2019-05-10 |