| NPI | 1235364639 |
|---|---|
| Former Name | ANGELA RAE SIMPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L2209) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2209) |
| 101YM0800X Counselor, Mental Health (Licence: OR C2209) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2016-08-04 |