| NPI | 1124198684 |
|---|---|
| Former Name | ANGELA CHRISTINE GREENWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C059920319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CO59920319) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-10-06 |