NPI | 1245665934 |
---|---|
Former Name | RACHAEL DAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 37646) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2013-09-12 |
Last Update Date | 2017-11-14 |