| NPI | 1700918901 |
|---|---|
| Former Name | BARBRA RACHELLE GOODNOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0003874) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0006558) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0003874) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-09-11 |