| NPI | 1154644680 |
|---|---|
| Former Name | ANGELA M BURNETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000005082) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2025-05-09 |