| NPI | 1497111728 |
|---|---|
| Former Name | DENITRA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6638) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: LA 6638) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2022-09-16 |