NPI | 1699320739 |
---|---|
Former Name | REBECCA MCKAMEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23192) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904017179) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2024-08-13 |