| NPI | 1902162423 |
|---|---|
| Former Name | CYNTHIA ELIZABETH BENTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10992) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 5182) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-01-20 |