NPI | 1275175499 |
---|---|
Former Name | GINGER ANN PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC2351) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018031846) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2024-11-05 |