NPI | 1013289487 |
---|---|
Other Name | KELLI CHERIE REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117524) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: NM M-09337) | |
1041C0700X Social Worker, Clinical (Licence: NM C-10294) | |
Enumeration Date | 2012-02-01 |
Last Update Date | 2024-02-18 |