NPI | 1073369716 |
---|---|
Former Name | RACHEL MARIE CHACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9593) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 9593) |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-04-24 |