NPI | 1043384787 |
---|---|
Former Name | DEBRA L ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089-0000521) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000207) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2017-09-22 |