NPI | 1396124939 |
---|---|
Former Name | RACHEL A TOTTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17314) |
Enumeration Date | 2015-05-28 |
Last Update Date | 2022-03-18 |