| NPI | 1124733472 |
|---|---|
| Former Name | FAITH REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: P2503017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-04-02 |