| NPI | 1417461245 |
|---|---|
| Former Name | SARAH KRISTEN PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801104223) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100276) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2024-07-24 |