NPI | 1871653154 |
---|---|
Former Name | RENEE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 1057) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20040200A) |
103T00000X Psychologist (Licence: MI 6301008688) | |
103T00000X Psychologist (Licence: NV PY0428) | |
Enumeration Date | 2006-12-09 |
Last Update Date | 2017-04-03 |