| NPI | 1750689642 |
|---|---|
| Former Name | DEBORAH TUCKETT HARLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 56292623503) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2021-01-08 |