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 |