| NPI | 1457819393 |
|---|---|
| Former Name | EMILY G. SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5929) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1667) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2023-03-23 |