NPI | 1578758223 |
---|---|
Other Name | SUSIE E BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA PSY10001149) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA PSY10001149) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-09-06 |
Last Update Date | 2025-02-04 |