| NPI | 1942648829 |
|---|---|
| Former Name | LINDA M. CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-13 |