| NPI | 1144739749 |
|---|---|
| Former Name | ANGEL BREANNA OLIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7877) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R7256) |
| 171M00000X Case Manager/Care Coordinator | |
| 372600000X Adult Companion | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2024-12-23 |