NPI | 1871865089 |
---|---|
Former Name | RAINEY CHACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60457018) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60235057) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2021-05-06 |