Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 32703 | TX |
N | 103TC0700X | Clinical Psychologist | 32703 | TX |
N | 103TS0200X | School Psychologist | 32183 | TX |
NPI | 1083644231 |
---|---|
Provider Name | Rachel West Robillard |
First Address | Austin, TX 78763-5561 |
Second Address | Austin, TX 78759-7845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 08/07/2007 |