| NPI | 1184083438 |
|---|---|
| Former Name | ALYCE R CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8305) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2023-04-27 |