| NPI | 1720772916 |
|---|---|
| Former Name | REBECCA BISHOP WAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153573) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 18922) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2025-04-17 |