NPI | 1013435130 |
---|---|
Former Name | RAECHEL LYNNE REID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119641) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4308) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2020-07-06 |