| NPI | 1538270186 |
|---|---|
| Former Name | REBECCA ELIZABETH SURLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60039974) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7028) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-06-21 |