| 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 |