NPI | 1902421845 |
---|---|
Other Name | BEN COBERLY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH21422) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 19715) |
Enumeration Date | 2020-06-16 |
Last Update Date | 2022-11-01 |