| NPI | 1003240169 |
|---|---|
| Former Name | DENISE O. PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4474) |
| 101YP2500X Counselor, Professional (Licence: NE 2178) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2016-11-30 |