NPI | 1194241299 |
---|---|
Former Name | ELIZABETH ANN ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 172V00000X Community Health Worker |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2024-02-23 |