| NPI | 1295211837 |
|---|---|
| Former Name | VICTORIA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7560-226) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2023-08-14 |