| NPI | 1134679616 |
|---|---|
| Former Name | RAECHEL ALEXANDRA CIPOLLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2023-08-01 |