| 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 |