| NPI | 1982957502 |
|---|---|
| Former Name | RACHAEL FARRYN SHANBROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138618) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2024-09-18 |