| NPI | 1053833533 |
|---|---|
| Former Name | ALLISON NICOLE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 124091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-10-18 |