NPI | 1568502532 |
---|---|
Other Name | PAULA K BENHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1859453) |
103TS0200X Psychologist, School (Licence: WI 867-058) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2011-10-06 |