| NPI | 1912567355 |
|---|---|
| Former Name | ANTOINETTE FOBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23522) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-10-14 |