NPI | 1235401886 |
---|---|
Former Name | HILLARY ROETHLISBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7788) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-27247) |
Enumeration Date | 2012-01-28 |
Last Update Date | 2024-11-05 |