| NPI | 1356725162 |
|---|---|
| Former Name | RACHAEL ANN FREDERICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9088) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 18118) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-09-18 |