| NPI | 1750619318 |
|---|---|
| Former Name | REBECCA PALIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.007114) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180.007114) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.007114) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2015-06-17 |