NPI | 1023479425 |
---|---|
Former Name | REBECCA JANE MCPHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01964-I) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |