| NPI | 1417934324 |
|---|---|
| Former Name | REBECCA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: UT 3423224405) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |