| NPI | 1679302699 |
|---|---|
| Former Name | VICTORIA LYNN REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61561982) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |