NPI | 1174009542 |
---|---|
Other Name | KARLI CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: VT 047.0133668) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-07-18 |
Last Update Date | 2023-12-21 |