| NPI | 1275903866 |
|---|---|
| Former Name | REBECCA RENEE HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071009146) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: IL 071009146) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2025-01-13 |