NPI | 1730300575 |
---|---|
Other Name | JENNIFER GASTINEAU-BENJAMIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19994) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 19994) |
101YM0800X Counselor, Mental Health (Licence: TX 19994) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2009-08-10 |