NPI | 1508023862 |
---|---|
Former Name | REBEKAH L HORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016728) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-05-22 |
Last Update Date | 2019-06-24 |