| NPI | 1629455928 |
|---|---|
| Former Name | REBECCA LYNN STANDIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 1479) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KS 1033) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-05-09 |