| NPI | 1922296367 |
|---|---|
| Former Name | LESLIE A BENEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180-005622) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180-005622) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2015-06-01 |