NPI | 1043725930 |
---|---|
Former Name | MOLLY PATRICIA REASBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107745) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2023-07-31 |