NPI | 1417360215 |
---|---|
Former Name | RACHEL BRIDGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014192) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-06-09 |
Last Update Date | 2024-07-07 |