NPI | 1861374258 |
---|---|
Former Name | ADRY S CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R10273) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR R10273) |
Enumeration Date | 2025-07-24 |
Last Update Date | 2025-08-11 |