| NPI | 1831403658 |
|---|---|
| Former Name | BAILEY CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2016-08-23 |