| 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 |