NPI | 1194249839 |
---|---|
Former Name | RACHAEL BYRNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MO 2021043650) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127417) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-02 |
Last Update Date | 2022-04-29 |