NPI | 1588089049 |
---|---|
Former Name | REBECCA ANN CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8890207-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117144) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2014-02-20 |