NPI | 1972892933 |
---|---|
Former Name | NATALIE JILL ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY KY-1775) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0143) |
Enumeration Date | 2011-03-30 |
Last Update Date | 2019-07-23 |