NPI | 1053967851 |
---|---|
Former Name | ANGELA SCHWAAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013044076) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013044076) |
Enumeration Date | 2019-08-16 |
Last Update Date | 2025-08-12 |