NPI | 1821976796 |
---|---|
Former Name | RACHEL SHIRLEY STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC1227) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA PPSC) |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-08-26 |