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 | 2023-02-04 |