| NPI | 1043371768 |
|---|---|
| Former Name | ROXANNE V FELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16346) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000172A) |
| 104100000X Social Worker (Licence: IN 33005112A) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34006093A) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2019-07-05 |