| NPI | 1386676419 |
|---|---|
| Former Name | ANGELA S CLARK-HANIFY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 01810) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-06-22 |