NPI | 1710420815 |
---|---|
Former Name | REBECCA E FIRTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9289) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018947) |
Enumeration Date | 2016-11-22 |
Last Update Date | 2021-12-07 |