NPI | 1659836088 |
---|---|
Other Name | MARGARET KEELEY BENNETT-JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4118) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.16307) |
Enumeration Date | 2019-02-11 |
Last Update Date | 2024-09-20 |