NPI | 1619379740 |
---|---|
Former Name | RACHEL ELIZABETH BADEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MS 611096) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00595300) |
103TC0700X Psychologist, Clinical (Licence: PA PS017574) | |
Enumeration Date | 2014-09-19 |
Last Update Date | 2022-05-11 |