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 |