| NPI | 1760639132 |
|---|---|
| Former Name | BECKY SUE TANKERSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1304036) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1304036) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2025-05-12 |