| NPI | 1871043505 |
|---|---|
| Former Name | REBECCA LYN TYRRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF79328) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109340) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2019-07-16 |