| NPI | 1063817286 |
|---|---|
| Other Name | REBECCA LACY DATTALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC06561) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-11-08 |