| NPI | 1295781599 |
|---|---|
| Former Name | KAREN CLEMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC2228) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LGP194) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-06-22 |