Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YM0800X | Mental Health Counselor | ||
N | 225400000X | Rehabilitation Practitioner |
NPI | 1003915554 |
---|---|
Provider Name | Ms. Francine R Robertson |
First Address | Kelseyville, CA 95451-9549 |
Second Address | Santa Rosa, CA 95403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 31/05/2018 |