NPI | 1093058596 |
---|---|
Other Name | ANGELLA VASSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD SC0513) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2013-04-03 |