NPI | 1083075592 |
---|---|
Former Name | REBECCA THERESE RAABE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2023-07-19 |