| NPI | 1376041020 |
|---|---|
| Former Name | RACHAEL GIACCONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15203) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-09-05 |