| NPI | 1699052217 |
|---|---|
| Former Name | ASHLEY REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 6343) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME CC7194) |
| 101YP2500X Counselor Professional (Licence: CO LPC.0019622) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2024-03-04 |