| NPI | 1639833296 |
|---|---|
| Former Name | RACHEL MARIE KOUBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9937-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 26559) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-05-27 |