NPI | 1255976379 |
---|---|
Former Name | REBECCA N MCCOWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3003) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-11-13 |
Last Update Date | 2020-02-06 |