| NPI | 1518732981 |
|---|---|
| Other Name | REBECCA BOONE DECARLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA APC000189) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-03-19 |