| 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 |