| NPI | 1649674573 |
|---|---|
| Other Name | ANNIE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020644) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10004) |
| 103TC0700X Psychologist, Clinical (Licence: NY 68020644) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-09-18 |