| NPI | 1700279619 |
|---|---|
| Former Name | RHEA L ELLESTAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 129639-121) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 9393-123) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2024-03-24 |