| NPI | 1902316227 |
|---|---|
| Former Name | ROBIN KONETZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 128991-121) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15989-132) |
| 1041C0700X Social Worker, Clinical (Licence: WI 8918-123) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-12-20 |