NPI | 1013374776 |
---|---|
Former Name | ANGELA SLABAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: SC 545684) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH 21189594) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2019-08-01 |