| NPI | 1679319651 |
|---|---|
| Former Name | REBECCA MONICA PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-04-29 |