| NPI | 1073847570 |
|---|---|
| Former Name | DEBRA JEAN COLVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1507080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2018-02-27 |