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 |