| NPI | 1518474139 |
|---|---|
| Former Name | KALLIE N REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019015457) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016029239) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2021-11-10 |