| NPI | 1588063259 | 
|---|---|
| Former Name | RACHEL SAMANTHA WOLF | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009654) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004492) | 
| Enumeration Date | 2014-08-19 | 
| Last Update Date | 2020-12-15 |