| NPI | 1710369582 |
|---|---|
| Former Name | DEVONNA FRICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2009117) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2021-06-18 |