| 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 |