NPI | 1801262563 |
---|---|
Former Name | RACHEL MARIE SLOUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4100) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 16490431) |
101YP2500X Counselor Professional (Licence: WI 469) | |
106H00000X Marriage & Family Therapist (Licence: WI 1143-124) | |
Enumeration Date | 2015-08-18 |
Last Update Date | 2024-06-19 |