| NPI | 1043793920 |
|---|---|
| Former Name | REBECCA LYNNE CARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6399) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 101430) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-05-23 |