| NPI | 1841661196 |
|---|---|
| Former Name | REBECCA LYNNE BENEDICT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008590) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC4541) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2019-03-07 |