| NPI | 1013392844 |
|---|---|
| Former Name | JAMIE LEE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SA61107665) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61461160) |
| 104100000X Social Worker (Licence: LA 12676) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-08-30 |