| NPI | 1942677885 |
|---|---|
| Former Name | BRENDA ROZIER CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002536) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000802) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |