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 |