| NPI | 1306381462 |
|---|---|
| Former Name | MEGAN LOVE REYNOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 117781) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 104100000X Social Worker (Licence: CA 95916) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-07-01 |