| NPI | 1871861955 |
|---|---|
| Former Name | COURTNEY BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2023-03-09 |