| NPI | 1124258249 |
|---|---|
| Former Name | RACHEL LEE GULLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK 5088) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2024-07-09 |