NPI | 1952710022 |
---|---|
Former Name | RACHEL AMANDA SILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005301) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30835) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2021-06-05 |