NPI | 1447659123 |
---|---|
Former Name | RACHEL ELIZABETH MCNEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 62226) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62226) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2018-03-17 |