| NPI | 1366576993 |
|---|---|
| Former Name | REBECCA MICHELLE FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-07-21 |