| NPI | 1528725660 |
|---|---|
| Professional Name | ELLEN E CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12293) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2024-01-10 |