| NPI | 1225467129 | 
|---|---|
| Former Name | JOSEPHINE PARRISH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013851)  | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015627)  | 
| Enumeration Date | 2013-11-01 | 
| Last Update Date | 2023-09-27 |