| NPI | 1477989713 |
|---|---|
| Professional Name | RAVEN TAYLOR O'ROURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 5966) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-03-08 |