| NPI | 1124159215 |
|---|---|
| Professional Name | CARMEN V. REYNOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46339) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF43481) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-11-12 |