| NPI | 1538304894 |
|---|---|
| Former Name | ELLEN CRUICE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15836) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW 9160) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2020-11-24 |