NPI | 1215207097 |
---|---|
Former Name | REBECCA ANN CROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4635) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019443) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2018-07-31 |