| NPI | 1679139232 |
|---|---|
| Former Name | CAITLIN VICTORIA REBENACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945110) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011256) |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2024-02-24 |