| NPI | 1457819393 |
|---|---|
| Former Name | EMILY G. SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4099) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2025-04-23 |