NPI | 1013076926 |
---|---|
Former Name | VICKI HILL REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1284) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 715) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |