NPI | 1396476693 |
---|---|
Former Name | CARA LEIGH CLARKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6458-LPC-MHSP) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-06-19 |
Last Update Date | 2024-08-13 |