NPI | 1417725755 |
---|---|
Former Name | SARON DANIELLE ANGLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM SWB-2025-0935) |
106S00000X Behavior Technician | |
Enumeration Date | 2023-12-15 |
Last Update Date | 2025-09-05 |