NPI | 1598034175 |
---|---|
Former Name | RACHEL ELAINE STILLWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT SWP-LMFT-LIC-19) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MT SWP-LCPC-LIC-2324) |
101YM0800X Counselor, Mental Health (Licence: MT SWP-LCPC-LIC-2324) | |
101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-2324) | |
Enumeration Date | 2011-12-27 |
Last Update Date | 2021-12-14 |