| NPI | 1134543184 |
|---|---|
| Former Name | REBECCA VEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 219312) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122049) |
| 1041C0700X Social Worker, Clinical (Licence: NY 219312) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2021-07-22 |