NPI | 1457649147 |
---|---|
Former Name | REBECCA MCKENZIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69097) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 30458) |
Enumeration Date | 2011-07-14 |
Last Update Date | 2020-08-11 |