| NPI | 1316294911 |
|---|---|
| Other Name | CARISSA C MCREYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-07919) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM c-09929) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2022-11-09 |