NPI | 1003914029 |
---|---|
Former Name | REBECCA ROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC11549) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC10471) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-07-31 |