NPI | 1134469976 |
---|---|
Former Name | RACHEL LYNN MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH 2001718) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1801089) |
Enumeration Date | 2013-02-14 |
Last Update Date | 2020-07-22 |