NPI | 1427370691 |
---|---|
Former Name | REBECCA KAY EDLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16382) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18353) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2020-08-21 |