NPI | 1679878839 |
---|---|
Former Name | MARANDA E BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1300020) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1300020-SUPV) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2023-04-10 |