| NPI | 1013387455 |
|---|---|
| Former Name | REBECCA DESSERTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-02-03 |