| NPI | 1508185356 |
|---|---|
| Former Name | LAURA HELEN REYNOLDS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007256A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33003624A) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2015-10-09 |