NPI | 1972736395 |
---|---|
Former Name | REBEKAH ANN OUELLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13395) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12129) |
Enumeration Date | 2009-09-02 |
Last Update Date | 2024-03-18 |