| NPI | 1760695837 |
|---|---|
| Former Name | MICHELLE BENWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7569606-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-12-30 |