| NPI | 1942675160 |
|---|---|
| Former Name | LEAH MARIE PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2023-03-09 |