| NPI | 1750137238 |
|---|---|
| Former Name | ASHLEY CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-29 |