| NPI | 1487047411 |
|---|---|
| Former Name | MARY LOU SCARBOROUGH-SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I0002748) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH IOOOO2748) |
| 101YP2500X Counselor, Professional (Licence: OH I0002748) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |