| NPI | 1831545250 |
|---|---|
| Former Name | STEPHANIE ELIZABETH BENITEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15593) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-19401) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-06-27 |