| NPI | 1700122553 |
|---|---|
| Other Name | AVA SPURLOCK DIRICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1-080766) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |