NPI | 1407078223 |
---|---|
Former Name | ROBIN D FOGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006550) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10570) |
1041C0700X Social Worker, Clinical (Licence: DC LC303373) | |
1041C0700X Social Worker, Clinical (Licence: PA SW-011310-L) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |