NPI | 1023558095 |
---|---|
Former Name | RACHEL C BRANDSMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013958) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0006700) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0998341) | |
101YP2500X Counselor, Professional (Licence: CO LPCC.0014330) | |
Enumeration Date | 2017-02-24 |
Last Update Date | 2021-01-22 |