NPI | 1699974782 |
---|---|
Former Name | RACHEL BERENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801084583) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801084583) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2024-05-13 |