| NPI | 1518001734 | 
|---|---|
| Former Name | REGINA E ECKLES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 3859) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3859) | 
| Enumeration Date | 2007-02-19 | 
| Last Update Date | 2020-08-10 |