NPI | 1174152318 |
---|---|
Former Name | ROCHELLE A ROBAIDEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9837) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 128043) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2022-01-05 |