| NPI | 1437572013 |
|---|---|
| Former Name | REBECCA DELONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01190) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2461) |
| Enumeration Date | 2014-02-02 |
| Last Update Date | 2024-02-03 |