NPI | 1154676484 |
---|---|
Former Name | ROBERTA S FELDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006485A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084724) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2015-06-05 |