| NPI | 1942235395 |
|---|---|
| Other Name | MARY ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006589) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965683) |
| 104100000X Social Worker (Licence: OH S-0021092) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-02-28 |