| 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 |