NPI | 1952556250 |
---|---|
Former Name | RACHEL ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22211) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05354500) |
Enumeration Date | 2008-12-01 |
Last Update Date | 2018-08-22 |