| NPI | 1316532682 |
|---|---|
| Former Name | RACHEL MARIE KLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 773431) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |