| NPI | 1831487602 |
|---|---|
| Former Name | REBECCA SUE BAUKNIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 16271) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 16271) |
| 103TP0814X Psychologist Psychoanalysis | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |