| NPI | 1053788877 |
|---|---|
| Former Name | CAMILLE JUDKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1907087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1801002) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2025-03-05 |