| NPI | 1245624568 |
|---|---|
| Former Name | BETHANY J ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.016802) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2022-06-23 |