NPI | 1770139529 |
---|---|
Other Name | LUCY RAVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW023854) |
Enumeration Date | 2019-08-16 |
Last Update Date | 2023-10-12 |