| 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 |