NPI | 1083256994 |
---|---|
Former Name | ROBERTA A BARRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2809) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2809) |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |