| NPI | 1205098134 |
|---|---|
| Other Name | REBECCA S BLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OK 37V350170804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 37V350170804) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-22 |