| NPI | 1043515174 |
|---|---|
| Former Name | ASHLEY ELIZABETH CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11180) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 11180) |
| 1041C0700X Social Worker, Clinical (Licence: HI 4075) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926420) | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2021-11-17 |