| NPI | 1427448836 |
|---|---|
| Other Name | FAMIKA LASHELL ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: GA 802342) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 13850) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710102892) | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2020-11-24 |