| NPI | 1720187503 |
|---|---|
| Former Name | REBECCA JEANNE WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD SD473) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IA IA01018) |
| 103T00000X Psychologist (Licence: WI WI2526-057) | |
| 103T00000X Psychologist (Licence: WI 2526) | |
| 103T00000X Psychologist (Licence: SD 473) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-12-02 |