| NPI | 1760013353 |
|---|---|
| Former Name | ROBERTA MARIE WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088300-01) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 35723) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2024-08-30 |