| NPI | 1861890147 |
|---|---|
| Former Name | RACHEL REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC 1506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT LCPC 8923) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2020-09-11 |