| NPI | 1861165904 |
|---|---|
| Former Name | MARION BAILEY REEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8494) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 8494) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-03-20 |