NPI | 1912529207 |
---|---|
Former Name | DEIRDRA SHANEL PLEDGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2208011) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1902016) |
Enumeration Date | 2020-05-10 |
Last Update Date | 2024-11-25 |