| NPI | 1295985521 |
|---|---|
| Former Name | REBECCA JO THIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2012002386) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1021) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2012-10-02 |