NPI | 1982864211 |
---|---|
Former Name | REBEKAH MCCLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS29091) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS29091) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2024-10-29 |