NPI | 1679116164 |
---|---|
Former Name | RACHEAL ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78983) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2019-10-28 |
Last Update Date | 2022-06-21 |