NPI | 1295060457 |
---|---|
Former Name | ANGELA HOPE SHEPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928583) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW31348) |
Enumeration Date | 2009-10-06 |
Last Update Date | 2023-08-18 |