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 |