NPI | 1992234280 |
---|---|
Former Name | RACHAEL L KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 33008745A) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2020-08-18 |