| NPI | 1154756898 |
|---|---|
| Former Name | SARAH ANN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042880A) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2021-02-22 |