NPI | 1124606348 |
---|---|
Former Name | RACHEL TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 13066954-6004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068-0134302) |
Enumeration Date | 2021-03-30 |
Last Update Date | 2023-04-17 |