| NPI | 1962988071 |
|---|---|
| Former Name | RACHEL WELLS CHAKNOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009923898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2023-08-21 |