NPI | 1750442596 |
---|---|
Professional Name | MARIA G CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-13317) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LISAC-10628) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2015-10-13 |