| NPI | 1659819266 |
|---|---|
| Former Name | CHELSEY LYNN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14081) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 14081) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |