| NPI | 1720059819 |
|---|---|
| Other Name | MARLO BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 357426-3902) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 357426-3902) |
| 106H00000X Marriage & Family Therapist (Licence: UT 357426-3902) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-08-29 |