NPI | 1942446141 |
---|---|
Former Name | AIMEE CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5771) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2008-12-18 |
Last Update Date | 2024-10-03 |