NPI | 1083376156 |
---|---|
Other Name | REYAH L TRAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-R-2352) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-10-06 |
Last Update Date | 2022-10-20 |