NPI | 1417307182 |
---|---|
Former Name | ANGELA PLAMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5532) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 117748-130) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2017-06-28 |