NPI | 1861532343 |
---|---|
Former Name | MEREDITH ANNE BENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116475) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089-001249) |
1041C0700X Social Worker, Clinical (Licence: NH 1468) | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2021-01-06 |