NPI | 1306033022 |
---|---|
Other Name | REBECCA RYSER JOLLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: UT 115990-3501) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 115990-3902) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2014-07-08 |