NPI | 1841474947 |
---|---|
Former Name | DONNA ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH C.0700898-TEMP) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL MH5935) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2007-12-26 |