| NPI | 1962957753 |
|---|---|
| Former Name | SUSANNA LYNNE PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132446) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: 91344) |
| 106H00000X Marriage & Family Therapist (Licence: CA 91344) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-10-28 |