NPI | 1649393711 |
---|---|
Former Name | CAROL DIANE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CCS-13034) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2016-11-17 |