| NPI | 1932772753 |
|---|---|
| Former Name | REBECCA L MCCONN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4532) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AL 2159) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-04-07 |