| NPI | 1609064088 |
|---|---|
| Former Name | REBECCA ALLEN-BURGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AL 904) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: AL 904) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |