NPI | 1457663288 |
---|---|
Former Name | MARY ANGELINE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4034) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: WA LH60376739) | |
Enumeration Date | 2010-07-09 |
Last Update Date | 2022-05-05 |