| NPI | 1285817478 |
|---|---|
| Former Name | REBECCA JO RADEMACHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401010301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2023-02-12 |