NPI | 1518380328 |
---|---|
Former Name | RACHEL SUTFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002964) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-01-29 |
Last Update Date | 2022-05-06 |