| NPI | 1689016701 |
|---|---|
| Former Name | LARK MARIE ALLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A4060) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2021-12-20 |