NPI | 1124547575 |
---|---|
Former Name | RACHEL JOYE PHALAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 13992) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101947) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2021-12-13 |