NPI | 1114453032 |
---|---|
Former Name | RACHEL SORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001690) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1800946) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-04-07 |