| NPI | 1811382872 |
|---|---|
| Former Name | CARMEN GABRIELLE PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 63781) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 000000) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2024-06-20 |