NPI | 1699181776 |
---|---|
Former Name | LEAH RACHELLE BACA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC07743) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-07-09 |
Last Update Date | 2024-08-29 |