| 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 |