NPI | 1215609805 |
---|---|
Former Name | ASHLEY MARIE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 129906) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 104078) |
Enumeration Date | 2021-10-01 |
Last Update Date | 2025-06-23 |