| NPI | 1245401785 |
|---|---|
| Former Name | DEBORAH L ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1101573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S-0500643) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2018-10-19 |