| NPI | 1841512829 |
|---|---|
| Former Name | RACHAEL MARY CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801091574) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2014-09-22 |