| NPI | 1114931003 |
|---|---|
| Former Name | REBBECCA LYNNE CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088055) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014601) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-01-05 |