| NPI | 1578575510 |
|---|---|
| Former Name | LORETTA REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |