NPI | 1932545936 |
---|---|
Former Name | SHAHARA ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 58375) |
Enumeration Date | 2013-05-16 |
Last Update Date | 2025-03-24 |