| NPI | 1053009746 |
|---|---|
| Former Name | ANGELA NICOLE FILLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A18717) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A18717) |
| 101YS0200X Counselor, School (Licence: NC 1246117) | |
| 101Y00000X Counselor (Licence: NC A18717) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |