| NPI | 1841563798 |
|---|---|
| Former Name | JOY ELAINE CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 00002626) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |