NPI | 1184808883 |
---|---|
Former Name | ANGELA RENE BOHLENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-12-18 |
Last Update Date | 2009-08-11 |