| NPI | 1841545258 | 
|---|---|
| Former Name | AUDREY ANN REED | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10678)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5687)  | 
| 101YM0800X Counselor, Mental Health (Licence: FL SW10678)  | |
| Enumeration Date | 2012-07-23 | 
| Last Update Date | 2025-05-01 |