NPI | 1033570882 |
---|---|
Former Name | REBECCA L KNOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2654-226) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16081-131) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2016-11-07 |