NPI | 1376917625 |
---|---|
Former Name | KAREN REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61220774) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60619103) |
101YM0800X Counselor, Mental Health (Licence: WA CG60619103) | |
103K00000X Behavior Analyst | |
Enumeration Date | 2015-11-24 |
Last Update Date | 2022-12-12 |