| NPI | 1770938219 |
|---|---|
| Former Name | COURTNEY RAUCHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6932-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-02-03 |