| NPI | 1255873212 |
|---|---|
| Former Name | RACHEL RUNKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2020-01-28 |