| NPI | 1841667268 |
|---|---|
| Former Name | ALLYSON CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7251) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2020-08-12 |