| NPI | 1851754972 |
|---|---|
| Former Name | SPENCER WHITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1710366) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1602028) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2019-07-15 |