| NPI | 1336559400 |
|---|---|
| Former Name | CRISTEN ROGGEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P008637) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010035) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2018-10-01 |