NPI | 1215963053 |
---|---|
Former Name | KAREN LEE ROESELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12405) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002874) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2018-11-07 |