| NPI | 1194073924 |
|---|---|
| Former Name | SARAH ELIZABETH CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3975C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3493G) |
| 101YS0200X Counselor, School (Licence: TN 9445) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2020-08-13 |