| NPI | 1639410525 |
|---|---|
| Former Name | JACQUELINE ROSE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 6304-S) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00302-c) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2019-03-07 |