NPI | 1477753994 |
---|---|
Other Name | ERICA LYNN BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015513) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 114317) |
101YP2500X Counselor, Professional (Licence: MO 2011000674) | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2024-12-16 |