NPI | 1427333061 |
---|---|
Former Name | RACHEL STRAUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020295-1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst (Licence: NY 000386) | |
Enumeration Date | 2011-10-14 |
Last Update Date | 2014-12-05 |