| NPI | 1588016604 |
|---|---|
| Former Name | MELISSA PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005774) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009513) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-07-21 |