| NPI | 1255732434 |
|---|---|
| Former Name | ANISA REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66781) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2021-04-29 |