| NPI | 1205830965 |
|---|---|
| Former Name | ROBERTA A TESAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7163-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7163) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-05-23 |