NPI | 1104178185 |
---|---|
Former Name | RACHEL FRANCIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5151) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 1107276) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2019-08-01 |