| NPI | 1811029358 |
|---|---|
| Former Name | CYNTHIA L REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006007A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001331A) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2021-11-22 |