| NPI | 1265533368 |
|---|---|
| Former Name | ANGELA MARIE ELLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S5187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC S5187) |
| 101Y00000X Counselor (Licence: NC S5187) | |
| 104100000X Social Worker (Licence: NC S5187) | |
| 106H00000X Marriage & Family Therapist (Licence: NC S5187) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-10-31 |