| NPI | 1548711229 |
|---|---|
| Former Name | JACLYN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0133000853) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-06-18 |