| NPI | 1932297363 |
|---|---|
| Former Name | STARLA B TICKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 516979) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-02-17 |