NPI | 1265981633 |
---|---|
Former Name | RACHEL VARGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 247209) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KY 170499) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2020-03-16 |