| NPI | 1225177363 |
|---|---|
| Former Name | ROSE ANN BARTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 693) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 125) |
| 163W00000X Registered Nurse (Licence: NE 30889) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |