NPI | 1356858591 |
---|---|
Former Name | ALAINA ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 19433) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: OH S.1802212) | |
Enumeration Date | 2018-01-09 |
Last Update Date | 2024-02-02 |