| NPI | 1326464884 |
|---|---|
| Former Name | KIM Y ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NV 58816) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 261QC1500X Clinic/Center Community Health (Licence: CA 470371) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2016-07-25 |