NPI | 1740618081 |
---|---|
Former Name | REBECCA ELLEN DEMBOSZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60663953) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-10-24 |
Last Update Date | 2021-08-19 |