NPI | 1477069458 |
---|---|
Former Name | REBECCA RAE BUETTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6889) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2393) |
Enumeration Date | 2017-12-28 |
Last Update Date | 2021-11-11 |