| NPI | 1255586236 |
|---|---|
| Former Name | ANGELA DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10700) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |