| NPI | 1184132300 |
|---|---|
| Former Name | RACHAEL GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161772) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700569) |
| 104100000X Social Worker (Licence: OH S.0029691) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2020-03-12 |