NPI | 1457750101 |
---|---|
Former Name | REBECCA ANN WINGERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-08-19 |
Last Update Date | 2017-01-03 |