NPI | 1538613435 |
---|---|
Former Name | RACHELLE PRESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6982) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60855556) |
Enumeration Date | 2016-08-09 |
Last Update Date | 2025-02-07 |