NPI | 1902180581 |
---|---|
Former Name | SHERI COLETTE REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc 43067) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA mfc 43067) |
101YM0800X Counselor, Mental Health (Licence: CA mfc 43067) | |
101YP2500X Counselor, Professional (Licence: CA mfc 43067) | |
Enumeration Date | 2011-09-30 |
Last Update Date | 2015-11-30 |