| NPI | 1316540883 |
|---|---|
| Former Name | CARRIE ROSBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81264) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13825) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-08-30 |