NPI | 1275912677 |
---|---|
Former Name | RACHELLE VERDUGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 101581) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2025-07-10 |