NPI | 1134545452 |
---|---|
Former Name | REBEKAH SALSBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TN 2893) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2893) |
101YP2500X Counselor, Professional (Licence: TN 2893) | |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |