NPI | 1386022978 |
---|---|
Former Name | REBECCA CONNIE WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 365936-3501) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60818488) |
1041C0700X Social Worker, Clinical (Licence: WA LW61089331) | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2024-10-02 |