| NPI | 1801234851 |
|---|---|
| Former Name | REBECCA BLAGDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 8310) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16799-130) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2017-07-19 |