| NPI | 1114215761 |
|---|---|
| Former Name | ANGEL L EARLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10075) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: SC LMSW-10075) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-08-15 |