NPI | 1093047961 |
---|---|
Former Name | LINDSEY LEE CLARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007280) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078703) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-02-03 |