| NPI | 1689205742 |
|---|---|
| Former Name | RACHAEL ERIN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 166001480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 208.000793) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2021-09-21 |