| NPI | 1154103828 |
|---|---|
| Former Name | SHARAL MARLENA PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1531971023) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |