| 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 |