| NPI | 1619242864 |
|---|---|
| Former Name | RACHEL MICHELLE PRUITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15986) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2021-02-15 |