NPI | 1790818011 |
---|---|
Former Name | JAMEE L REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015856) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 073285) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2023-09-20 |