NPI | 1134450760 |
---|---|
Former Name | ANGELA DAWN STREB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0800521) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0800521-TEMP) |
101YP2500X Counselor, Professional (Licence: OH C.0800521-TEMP) | |
101YM0800X Counselor, Mental Health (Licence: OH E.0800521) | |
Enumeration Date | 2010-01-21 |
Last Update Date | 2015-11-05 |