| NPI | 1851031454 |
|---|---|
| Former Name | CLARICE T ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH7727) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7727) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2318) | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |