| 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 |