| NPI | 1770956781 |
|---|---|
| Former Name | RACHEL KATHERINE FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37084) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: OK 1286) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2018-05-08 |