| NPI | 1457399974 |
|---|---|
| Former Name | GWENDOLYN D. PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003003710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2291) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-01-18 |