| NPI | 1720587850 |
|---|---|
| Former Name | AMY PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102181) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700671-TRNE) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-04-30 |