NPI | 1770032120 |
---|---|
Former Name | RACEL LEIGH MARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12979) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701008934) |
101YP2500X Counselor, Professional (Licence: DC PRC14691) | |
Enumeration Date | 2016-09-27 |
Last Update Date | 2024-10-21 |