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 |