NPI | 1700237724 |
---|---|
Former Name | LILIA ELIZABETH PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12204) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS94562) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-30 |
Last Update Date | 2021-03-23 |