| NPI | 1255636791 |
|---|---|
| Former Name | RACHEL ELIZABETH VANDERIET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12279) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2024-03-29 |