| NPI | 1134535990 |
|---|---|
| Former Name | RACHEL MARIE PACKEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17160-130) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-03-17 |