NPI | 1336409671 |
---|---|
Former Name | RACHEL LAURIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084030) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086180) |
101YM0800X Counselor, Mental Health (Licence: NY 086180) | |
1041C0700X Social Worker, Clinical (Licence: VA 0904014488) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2022-11-29 |