| NPI | 1386992535 |
|---|---|
| Former Name | REBECCA KELLY SPIGENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13360) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMT1752) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2018-03-17 |