| NPI | 1467674366 |
|---|---|
| Former Name | PAULA M CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101647) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-07-09 |