NPI | 1821325911 |
---|---|
Former Name | RACHAEL SOUTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA 1265) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 51812) |
Enumeration Date | 2009-11-10 |
Last Update Date | 2020-01-30 |