| 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 |