| NPI | 1154531226 |
|---|---|
| Former Name | ROCHELLE RENEE REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4820) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 6297T) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-07-20 |