NPI | 1629207618 |
---|---|
Former Name | REBECCA EILEEN RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW17323) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125582) |
Enumeration Date | 2009-07-10 |
Last Update Date | 2022-03-31 |