Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 54287 | TX |
N | 1041C0700X | Clinical Social Worker | 54287 | TX |
NPI | 1003108739 |
---|---|
Provider Name | Adrienne Elizabeth Robison |
First Address | Austin, TX 78704-2617 |
Second Address | Austin, TX 78704-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2011 |
Last Update Date | 04/11/2021 |