NPI | 1558569632 |
---|---|
Former Name | RACHAEL LYNN HENDRICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK CSWS1114) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS23426) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2019-12-05 |