| NPI | 1407338544 |
|---|---|
| Former Name | KERI REICHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11498) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP8610) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-05-19 |