NPI | 1306315957 |
---|---|
Former Name | ANGELA CATHERINE TAUBER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHPC-001268) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-11-13 |
Last Update Date | 2024-05-13 |