| NPI | 1811007768 |
|---|---|
| Former Name | STACEY PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-04-26 |