NPI | 1538537964 |
---|---|
Former Name | RACHEL ALICE WILLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NM M-09196) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM M-09196) |
1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0993) | |
Enumeration Date | 2015-09-02 |
Last Update Date | 2023-10-25 |