NPI | 1235465444 |
---|---|
Other Name | REBECCA BECKINGHAM FADIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009555) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068140-1) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2017-05-10 |