NPI | 1457772154 |
---|---|
Former Name | REBECCA ELIZABETH KRAUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020892) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05647100) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2021-03-18 |