| NPI | 1326598921 |
|---|---|
| Former Name | ANGELA HELLSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 2673-226) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 17299-130) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |