NPI | 1205275096 |
---|---|
Former Name | ASHLEY KAYE REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor Professional | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2013-06-14 |