NPI | 1699220574 |
---|---|
Former Name | RACHEL E WESTERHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003829) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-08-19 |
Last Update Date | 2021-08-13 |