| NPI | 1124643788 |
|---|---|
| Former Name | REBECCA GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014659) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0906010218) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2022-12-20 |