| NPI | 1760846653 |
|---|---|
| Former Name | KELLEE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001532) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013524) |
| 106H00000X Marriage & Family Therapist (Licence: AZ LAMFT-10451) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-03-03 |