| NPI | 1164959730 |
|---|---|
| Former Name | ARIANNA ELIZABETH SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 588) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 11157) |
| 101Y00000X Counselor (Licence: NE 5186) | |
| 103T00000X Psychologist (Licence: NE 583) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |