| NPI | 1578052874 |
|---|---|
| Former Name | RACHELLE JO KITCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 4434) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07227) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2024-04-01 |