| NPI | 1134696263 |
|---|---|
| Former Name | REBECCA BOER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 84403) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 093769) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2025-03-04 |