| NPI | 1255748190 |
|---|---|
| Former Name | REBECCA DO-REYNOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018850) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2023-01-31 |