| NPI | 1811472566 |
|---|---|
| Former Name | TARA BENCZKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 026318) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-03-11 |