| NPI | 1083025928 |
|---|---|
| Former Name | DONNA ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor, Mental Health (Licence: NC A11720) | |
| 101Y00000X Counselor (Licence: NC A11720) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-08-18 |