NPI | 1356820765 |
---|---|
Former Name | RONIQUA TESHAE ROUNDTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008856A) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-08-08 |
Last Update Date | 2021-08-06 |