NPI | 1639410525 |
---|---|
Former Name | JACQUELINE ROSE ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 7063-C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00302-c) |
Enumeration Date | 2013-03-03 |
Last Update Date | 2025-06-17 |