| NPI | 1548679285 |
|---|---|
| Former Name | RANDI REASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 93437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73314) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2023-01-14 |