| NPI | 1821459397 |
|---|---|
| Former Name | REBECCA LEE SZUSTAKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM LCSW) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09321) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2021-07-07 |