| NPI | 1801234851 |
|---|---|
| Former Name | REBECCA BLAGDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8310-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15933-132) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2025-01-04 |