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 |