NPI | 1639664600 |
---|---|
Former Name | REBEKAH RENE STEARNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-6875) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 6875) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2023-10-04 |