| NPI | 1942357116 |
|---|---|
| Former Name | MAGNA JAMES PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA 1839) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: AL 1971) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2022-07-21 |