NPI | 1033212360 |
---|---|
Former Name | ROBERTA L FROST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R074314-1) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 074314) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2014-08-27 |