NPI | 1144681313 |
---|---|
Former Name | ANGELA THERESE HODGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 104100000X Social Worker (Licence: OR A12422) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2025-08-13 |