NPI | 1215469010 |
---|---|
Former Name | REBECCA DUNTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH14586) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3668) |
101YP2500X Counselor, Professional (Licence: TX 84099) | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2024-04-23 |