| NPI | 1619508470 |
|---|---|
| Former Name | MAKENZEE DENAE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 174H00000X Health Educator |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-09-18 |