NPI | 1245641166 |
---|---|
Former Name | ANGELA NOWISKI HERRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10300) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3361) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2020-05-08 |