NPI | 1316264625 |
---|---|
Former Name | REBECCA LYNN HOUY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2004004603) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC004954) |
101YS0200X Counselor School (Licence: MO 0425410) | |
Enumeration Date | 2010-04-26 |
Last Update Date | 2010-04-26 |