NPI | 1255665519 |
---|---|
Former Name | REBECCA RENEE BARTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0038) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007163) |
Enumeration Date | 2009-09-18 |
Last Update Date | 2015-04-08 |