| NPI | 1083193882 |
|---|---|
| Former Name | COREY SUSAN LLOYD PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801110245) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2024-07-17 |