NPI | 1104164623 |
---|---|
Former Name | REBEKAH LYNN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010987) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6483) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2019-11-18 |