NPI | 1508171877 |
---|---|
Former Name | L'OREAL GOODEN BENITEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2762) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1162) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 764) | |
Enumeration Date | 2010-08-11 |
Last Update Date | 2024-09-23 |