| NPI | 1144733221 |
|---|---|
| Former Name | ANGELA C WYCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 141249-3) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2018-06-16 |