NPI | 1265681175 |
---|---|
Former Name | ANGELA J HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2004032814) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2004032814) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2021-11-01 |