NPI | 1164054938 |
---|---|
Former Name | RACHEL TARRENCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-111960) |
Enumeration Date | 2020-02-10 |
Last Update Date | 2024-09-18 |