| NPI | 1104173970 |
|---|---|
| Other Name | KATHARINE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3201) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 61095149) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2023-12-01 |